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Psychological distress confirmed as predictor of long-term back-related functional limitations in primary care settings.
- Source :
-
Journal of clinical epidemiology [J Clin Epidemiol] 2005 Jul; Vol. 58 (7), pp. 714-8. Date of Electronic Publication: 2005 Apr 18. - Publication Year :
- 2005
-
Abstract
- Background and Objective: Among the possible predictors of back pain outcomes that have been studied, indices of psychological distress have been found to have a high prognostic value. This study aimed at assessing the validity of a predictive model of long-term back-related functional limitations that is based on psychological distress, in a new sample of subjects.<br />Study Design and Setting: The study was conducted with 860 French-speaking workers who consulted for nonspecific back pain in primary care settings of the Quebec City area. They were interviewed at baseline and again 2 years later. Psychological distress and back-related functional limitations were measured respectively with items drawn from the Symptom Checklist 90 Revised and the Roland-Morris Disability Questionnaire. Analyses were conducted by forcing the model previously developed on a sample of English-speaking health maintenance organization (HMO) members of Washington state.<br />Results: The model correctly classified 82% of subjects as to their functional limitation status at 2 years. The accuracy of the prediction was similar to that reported in the original study.<br />Conclusion: The fact that this predictive model of back-related functional limitations led to similar results in a different sample of subjects and in another language brings strong support to its validity.
Details
- Language :
- English
- ISSN :
- 0895-4356
- Volume :
- 58
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Journal of clinical epidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 15939223
- Full Text :
- https://doi.org/10.1016/j.jclinepi.2004.12.005